Orlando, FL 32806 · CMS Certification Number 100006. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,776 | $155,265 | 8.7× | $11,820 |
| Shoulder replacement | $20,968 | $206,490 | 9.8× | $16,845 |
| Hip replacement after a fracture (DRG 522) | $18,193 | $202,400 | 11.1× | — |
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 2024 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Orlando Health Orlando Regional Medical Center an average of $17,776 per inpatient hip or knee replacement stay (MS-DRG 470, 444 stays) and $11,820 per outpatient case (APC 5115, 474 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $155,265, 8.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Jewett Orthopedic Institute Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,439 by Medicare for a knee replacement (CPT 27447), $9,337 less than an inpatient stay at Orlando Health Orlando Regional Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Orlando Health Orlando Regional Medical Center more than 86% of the 88 Florida hospitals that report inpatient hip or knee replacement.